Found conflicting answers in ophthalmology nd pediatrics, sir kindly clear the doubt
ROP guidelines says 1st examination done 4-6 weeks of postnatal age or 31-33 weeks whicever is later
Emphasis the word - later.
There are conflicting answers, most like as there are conflicting guidelines. As per the MOHFW, screening timeline, if the clild is less than 28 weeks, then the first screening is at 2-3 weeks post natal. If more than 28 and less than 34 (36 with risk factors) then screening at 4 weeks post natal.
As per AIIMS NICU protocol, First screening examination should be carried out at 32 weeks of post menstrual age (PMA) or 4 weeks of postnatal age (PNA), whichever is later. For infants less than 28 wk, screen at 3 wk
Thus I feel the answer would be 2 weeks post natal as the child is less than 28 weeks
Hi Neetpg Aspirant, As per the AIIMS protocol, the first screening for ROP is done at 32 weeks of post-menstrual age (PMA) or 4 weeks of postnatal age (PNA), whichever is later. This baby is born at 27 weeks of gestation. Postnatal age (PNA) of 4 weeks would correspond to 27+4 = 31 weeks of PMA. So screening should be done at PMA of 32 weeks in this case because it falls later than the PNA of 4 weeks. Thank you.